ICU / CCU / NICU Board

The critical-care board and flowsheet - every ICU, CCU and NICU patient, their observation rounds, severity scores, drips, intake and output, lines, neonatal profile, handovers and step-down.

The ICU / CCU / NICU Board lists every patient in a critical-care bed. Open a patient to chart observation rounds on their flowsheet, see their severity scores, and hand over or step them down to a ward.

Before you begin

• ICU, CCU or NICU wards exist with beds. See Wards & Beds.
• The patient is admitted to one of those beds. See Admit a patient.
• Charting needs the critical-care chart permission. See Users & Roles.

Where to find it

Open Intensive care → Work → ICU / CCU / NICU Board. The page is titled Critical Care.

Read the board

Each card shows the unit (ICU, CCU or NICU), the ward and bed, and the patient. Click a card, or Open flowsheet, to open the patient's flowsheet. When nobody is in a critical-care bed, the page says so and links to the bed board.

Read a patient's flowsheet

• The header shows the patient, the unit, the bed and the buttons Flowsheet (print), Billing, Step down, Handover and New Round.
• The tiles show Last HR, Last BP / MAP, Last SpO₂, the I/O Balance for the shift and 24 hours, and NEWS2 / qSOFA with the risk level.
• A red Deterioration alert asks you to screen for sepsis and escalate when the scores are high.
• Lines, tubes & catheters lists each line with the days in since it went in. A line past its review time is flagged.
• For a NICU baby, the Neonatal Profile shows the gestational age, birth weight, delivery, feeding and resuscitation at birth.
• Shift Handovers lists the SBAR handovers for this stay.
• The flowsheet table lists every round.

Chart an observation round

See Chart an ICU round and hand over for each field. In short:

1. Click New Round.
2. Fill in the vital signs, neurology, respiratory support and the cardiac or neonatal fields that apply.
3. Add any drips under Infusions / Drips and fluids under Intake / Output.
4. Click Save Round.

NEWS2 and qSOFA are worked out from the round's vitals.

Record a line

1. Under Lines, tubes & catheters, choose the Type, Site, Side and Size.
2. Set Put in at, or leave it blank for now.
3. Click Record.

Click Remove when it comes out and give the reason.

Step down to a ward

1. Click Step down.
2. Choose the Ward and Bed.
3. Write the SBAR handover for the ward: Situation, Background, Assessment, Recommendation and Pending tasks, and pick who is Taking over on the ward.
4. Click Step down & sign handover.

Lines still in are listed so you can mention them in the handover.

Common questions

A patient in the ICU is not on the board. They are admitted to a bed in a ward whose type is not ICU, CCU or NICU. Transfer them, or correct the ward type on Wards & Beds.

New Round is missing. Your role cannot chart in critical care, or the patient is no longer admitted.

Where do I see all handovers for the day? On Handover (SBAR).